Ukulwa neengxaki ze-Intshurensi yezeMali, eziSebenzayo kunye neMpilo
Ukonyango kobubele kunye nobuchwepheshe buhlinzeka ngamadoda nabasetyhini abangenakukwazi ukuba nabantwana ithuba lokuba nosapho. Ngelishwa, ezi zonyango azihlali zifumaneka okanye zifumaneka lula. Enyanisweni, uphando lubonisa ukuba uninzi lwezibini ezingenamntwana azikwazi ukufumana unyango lwezityalo eziyidingayo.
KwiiZiko loPhando lweSizwe loPhando loKhuseleko lweNtsapho, ama-11 ekhulwini kwabasetyhini kunye neepesenti ezingama-9 babika ukuba banzima ukukhulelwa .
Olu uphando olufanayo lufumanisa ukuba ama-38 ekhulwini okwangoku abangabantwana abangabantwana abanenkxalabo yokukhangela inzala bafuna okanye bafumana nayiphi na inkathalo yokuzala. Kulo qela labasetyhini, abaninzi bafumana uvavanyo lokuvuna kunye neengcebiso-kodwa kungekhona unyango.
Xa kuziwa kunyango lwe-IVF e-United States, kuqikelelwa ukuba enye yeembhangqwana ezine ezidinga le teknoloji yobubele yokuncedisa iyifumana .
Kutheni abantu abaninzi banakho ukufumana unyango abayidingayo? Ukuba unobungozi bokufumana unyango lwe-infertility, ngaba kukho into onokuyenza ukuphucula ukufikelela kwakho? Kwaye, ukuba unyango lwezityalo alukhethi, unokwenza ntoni ukuze ulungiselele imiphumo yakho yokuphumelela kokukhulelwa?
Awuyedwa Yodwa: Izithintelo eziqhelekileyo zokufikelela kwiZonyango zokuNyango
Ukuba unzima ukufumana unyango oluyidingayo, awukude wedwa. Unokujamelana nesithintelo esinye, okanye ezininzi. Nazi ezinye izithintelo zokunakekelwa kwenzalo:
Ukungabikho kwezibonelelo zenzalo kwiNtshuwalense yezeMpilo: Oku kuxho mekeke kwindawo ohlala kuyo kunye nabani osebenzelayo. KwiCanada naseYurophu, ukukhutshwa komzimba kulawulwa ngumthetho kwiindawo ezininzi. Oku akunjalo e-United States. Amazwe angama-11 kuphela anemithetho efuna inzuzo yomshuwalense wokuzala. Kuzo zi-11, zintandathu kuphela zifuna ukufikelela ngokubanzi.
E-US, amaphesenti angama-75 e-inshorensi yabucala ayifuni ngokwaneleyo ukungabikho komntwana. Ukuba unesicwangciso se-inshurensi kawonkewonke, akunakwenzeka ukuba unayo nayiphi na inkcazo yokuzala.
Ukungabikho kwe-inshurensi ye-Heath : Abantu abane-inshorensi yempilo-nangaphandle kokungabikho kwempilo-bangakwazi ukufumana unyango olusisiseko. Ngamanye amaxesha, oku kunokwanela ukuphatha iingxaki ezilula zokuzala. Ngokomzekelo, i-OB / GYN yakho inokumisela i-Clomid ukuba i- ovulation yakho ingavumelekile . Unokufuna ukuhlawula ixabiso elipheleleyo kwiipilisi, kodwa ukugqitywa kwamagqirha kunye nokuhlolwa okusemgangathweni okunokwenzeka kuya kubalwa.
Nangona kunjalo, ukuba uyasweleka nayiphi na inshorensi yempilo, ukukwazi kwakho ukunyamekela inzala kuyanciphisa. Oku kuyinyaniso nokuba unesicwangciso se-inshorensi yempilo kuphela.
Ukungabikho kweeNgxowa (kunye okanye ngaphandle kwe-Ininshurensi): Nangona unomshuwalense omkhulu wezempilo, iindleko zingakwazi ukuma phakathi kwakho kunye nonyango oluyidingayo. Umvuzo wakho wokubambisana unokuba lukhulu kakhulu kuhlahlo lwabiwo-mali. Icandelo lonyango lwakho lungaze lugqitywe nonke. Ukuba ufuna i- surrogacy okanye umnikezeli weqanda ukuba ube nomntwana , oku kuyinyani ngokukodwa.
Indawo : Akunakho okwaneleyo ekuzaleni i-endocrinologists kwilizwe lakho okanye kwilizwe lakho. EUnited States, ukuba uhlala kwiMpuma okanye kuseNtshona-ntshona, unakho amathuba okuba nekliniki yokuzala inomgama ohamba phambili kunokuba uhlala eMidwest.
Kukho ama-16 ase-USA ase-USA kunye ne-SART (uMbutho woNxibelelwano woLuntu oNcedisayo).
Kukho ulungelelwano oluninzi lwezityalo olufumanekayo kumazwe afuna uncedo lwe-inshurensi yezempilo. Unokujonga indlela amazinga akho aseburhulumenteni ngayo kwi-RESOLVE's Score Sheet Scorecard page.
Ubunzima Ukufumana Unonophelo Oluhle Ngenxa yoBonelelo Bonyango: Kwilizwe elungileyo, ukunakekelwa ngugqirha akufanele kuphazamiseke. Kodwa oogqirha ngabantu, kunye neenkolelo zabo ngamanye amaxesha zifumana indlela yokubonelela unyango.
Izizathu zoogqirha zenqabile ukunakekelwa kwesigulane, okanye zinikezela ngolwazi olungachanekanga (ukuxelela isigulane abanako ukufumana unyameko, xa besenokukwazi), ba ndakanya:
- Ukuchasa inkolo kwi-IVF
- Ubume bezoqoqosho (okanye isimo sengqondo se-socioeconomic) sesigulane
- Isigulane esingaphezu kwesisindo (kungekhona kwizizathu zonyango ezifanelekileyo, kodwa ngenxa yobuncwane bobuqu)
- Isimo somtshato (inxalenye yomshuwalense wezempilo yonyango kufuneka ukuba isigulane sitshatile)
- Ukwaziswa ngezesondo
- Ubuni besazisi
- Ubuhlanga okanye ubuhlanga
- Ubudala
Le bhanki inokuthi yenzeke kumgqirha wezempilo oyintloko okanye kwi-OB / GYN nqanaba, okanye iyakwazi ukuqhubela phambili ikhonkco kunye neengcali zokuzala. Abo bahlangabezana neengxaki kwizinga lokuqala lokunyamekela banokungenakufumana uncedo oluvela kwiklinikhi yokuzala. (Basenokungazi nokuba bafuna ukuba, kuxhomekeke kukuphi ulwazi olusenziwa ngugqirha wokuqala.)
Umthetho ukhusela ezinye zezinto ezixhatshazo. Nangona kunjalo, ucalulo olungekho mthethweni aluthinteli ukuba lwenzeke.
Ubunzima Ukufuna Ukunyamekela Ngenxa Yobuntu Bomntu Nokwesaba : Esi sithintelo senziwa ngaphakathi kwenzalo yomntu onzima. Amadoda nabasetyhini abaninzi bayazi ukuba banzima ukukhulelwa, kodwa banqamle ukufuna uncedo lokuzala (okanye ungafuneki uncedo).
Izizathu ezinokwenzeka ukuba umntu akanako ukufikelela ekuncedeni ukuzala, kubandakanya ukunyaniseka kwenkcubeko , ukungathembeki okanye ukwesaba kwabagqirha, ukucinga ukuba abanakho ukufumana naluphi na unyango, inkolelo yenkolo okanye inkolelo yokuba ixesha elininzi okanye inhlanhla kuya kunelisekisa ukunqongophala.
Ungacingi ngokuzenzekelayo Awukwazi ukuphazamisa unyango oluyidingayo
Ezinye izibini zitsho zize zathethe noogqirha babo malunga nokukhathazeka kwabo kokuzala ngoba bacinga ukuba abayi kukwazi ukufumana unyango. Oku kubi, kuba kunikwe unyango oluninzi lokunyanga.
Okokuqala, ubone ugqirha wakho. Fumana uvavanyo lokuqala lokuzala. (Oku kucinga ukuba unomshuwalense wezempilo, jonga ngezantsi ukuba wenzeni ukuba unako u-inshurensi enhle.)
Emva koko, xa ugqirha wakho enza uvavanyo, fumana ukuba zeziphi unyango ezicetyiswayo kunye neendleko zabo. Ipesenti ezincinci zezilwanyana zokuzala zifuna i-IVF .
Zifundise Ngezinye iindlela zokuncedisa ngezeMali
Ewe, unyango oluthile olunokuzala lunokubiza. Ukuba ufuna iirjectable , i- IUI , okanye nayiphi na incedisi yobuchwepheshe bokuzala, iindleko eziphezulu zingakukhusela ukuba ufumane unyango oluyidingayo.
Oku kuthethi, kukho iindlela onokungaziqwalasela ngazo. Uncedo oluncinci lwezezimali lunokukunceda ukuba ungabi khona-ewe-ye-sinako.
Ezinye iinketho zokujonga ziquka:
- Ukufumana izaphulelo kwiyeza okanye kumachiza
- Izinketho ezibolekayo zokunyanga ukuzala
- I-risk-shared-risk and restitution programs IVF
- Izibonelelo kunye neengxowa-mali
- Inkcitho
Thatha inzuzo yeeNkonzo zezeMpilo zamahhala okanye eziNcedo
Masithi awunayo inshuwalense yezempilo, okanye i-inshorensi yakho yempilo iyisiseko esibalulekileyo. Unokwazi ukufumana unonophelo onokuhlawulela kwi-kliniki yezempilo yamahhala okanye ehlaziyiweyo.
Awuyi kufumana unyango lwe-IVF apha. Kodwa ukunyamekela kokuzala kufuneka kufikeleleke, kubandakanywa uvavanyo oluvakalayo lokuzala. Ezinye zezinye iiklinikhi zempilo okanye ziphuculwa zikarhulumente zinganquma ukuba izidakamizwa zokuzala ezifana neClomid .
Ukufumana iZiko lezeMpilo eliLungeleleneyo lezeMpilo (FQHC), ungasebenzisa isixhobo sokukhangela kwiWebhsayithi yeeNkonzo zeMpilo kunye noLawulo lweeNkonzo (HRSA):
- Fumana iZiko lezeMpilo eliHlazileyo okanye eliHloniphekileyo
Enye inketho kukuqhagamshelana neofisi yakho yaseUnited Way okanye kwiKliniki yasePlanned parent parent.
Ukunyanga Izifo eziSisiseko eziPhambili njengeyona ndlela inokwenzeka kakhulu
Xa ucinga ngeengxaki zokuzala, mhlawumbi ucinga ukuba imbambano ivela kwinkqubo yokuzala. Kodwa oku akunjalo ngaso sonke isikhathi. Ngamanye amaxesha, imeko yezokwelapha (engagqugquzeli kuphela ukuzala) ibangela ukungabikho. Ukungabi naluphi na uhlobo luba ngumqondiso wokuqala owuqaphelayo.
Ngokomzekelo, ukunyamezela kuyinto evamile (inokuthintela) isizathu sokungabikho komntwana. Ukungalingani kwe-thyroid nesifo sikashukela kunokubangela iingxaki zokuzala. Isifo esinezifo ezingekho phantsi kweso sifo sikhankanywa ukuba kubangele ukungabikho.
Esi sisinye isizathu sokuba ufanele ubone ugqirha wakho ukuba unzima ukukhulelwa, nangona ungenayo inzuzo yokuzala kwi-inshorensi yakho yempilo. Akunakudingi "unyango lokuzala" ukuze ukhulelwe.
Buza udokotela wakho wezeMpilo ukuba unciphise iindleko njengoko kunokwenzeka
Masithi udinga unyango lokuzala. Ngamanye amaxesha, ukuba uchazela kwiklinikhi yokuzala yakho imeko yezemali, unokukwazi ukunciphisa iindleko (mhlawumbi).
Ezinye iindlela ezinokuthi iindleko zingancitshiswa ziquka:
- Ukujonga esincinane
- Ukusebenzisa ukhetho lwezonyango ezingabizi ngaphantsi
- Ukuzama umjikelezo wendalo okanye we-IVF
Ewe, kukho iingozi kunye neenzuzo zokusebenzisa iliso elincinci okanye ukuzama umjikelo we-mini-IVF endaweni yesiganeko. Ezi zikhetho zokunciphisa iindleko azinakwenzeka njalo. Xoxa ngeenketho zakho ngogqirha wakho.
Ukuphucula impilo epheleleyo njengoko kunokwenzeka
Indlela yokuphila enempilo ayiyi kuvula izigulane zakho , ukunyanga okuphambili kwe-ovarian , okanye ukuguqula i- azoospermia (isibalo se-sperm count) . Nangona kunjalo, izibini ezijongene neengxaki zokuzala ezinokujamelana nazo zingabangela iingxaki zokukhulelwa kwabo.
Ezinye izinto oza kuziqwalasela:
Yidla ukutya okunempilo . Uphando lufumene ukuba ukutya kudlala indima ekuzaleni . Ukutya okunempilo ngamanye amaxesha kuya kuba kubi kakhulu. Ukupheka impilo kungathatha ixesha, ongayinayo ukuba usebenza iiyure ezinde.
Ukufumana iimveliso ezininzi ekudleni kwakho, ukuthenga umkhiqizo ngexesha, kwaye khumbula ukuba imifuno egciniweyo ifana nesondlo nje ngokutsha.
Kwakhona, ungaba neentloni zokusebenzisa amathuba ebhanki yakho yokutya (ukuba ufanelekile). Ezinye iindawo zivelise iinkqubo zokuncedisa iintsapho ezifumana umvuzo ophantsi ukufumana ukutya okuninzi okutsha ekudleni kwabo.
Ukugcina ixesha ngokupheka, jonga kwi-intanethi kunye nelayibrari ukuze ufumane ulwazi malunga nokulungiswa kokutya okuphambili kunye neendlela zokupheka "ezikhawulezayo nezilula." Umpheki ophuculayo unokuba ngumtyalo otyalo. Impilo ayifanele ukuba ithetha ukuba yinto eqhelekileyo okanye eyinkimbinkimbi.
Thola ukulala ngokwaneleyo, ngeeyure ezifanelekileyo . Ukulala kubalulekile kwimpilo yakho yonke kunye nokuzala kwakho. Abasebenzi beShift bangabhekana nobungozi obuninzi bokukhulelwa ngokukodwa . Xa uzama ukukhulelwa, yenza ubuthongo kuqala.
Ukuphula loo mibi yempilo . Uyatshaya? Ngaba utywala kotywala imihla ngemihla ebomini bakho? Imikhwa engcolileyo ingonakalisa ukuzala kwakho.
Yenza ixesha lokuphumla . Ukuxinezeleka akubangele ukungabikho komntwana, kodwa ukungabikho kwengqondo kunokuba nzima kakhulu. Ukuxinzelela ngokweqile akulungele impilo yakho yonke. Imizimba yengqondo ingakunceda ukuba usebenze kangcono.
Zifundise kwi-Infertility kwaye uxhumane nabanye
Ukwazi ngakumbi, ngakumbi unokuzinceda. Zifundise ukungabikho komntwana, ukhetho lwakho lokunyanga, kunye naluphi na amanyathelo onokuthatha ukuze uphucule ubunzima bokukhulelwa ngokwakho (ukuba kunokwenzeka).
Kwakhona, khangela ukuxhaswa kwentlalo malunga neengxaki zakho zokuzala. Ukuqhagamshelana nabanye abajongene nokungabikho kwengqondo kunokunceda ubone ukuba "awuphuli" kwaye akukho nto ihlazo. Olu tshintsho kwisimo sengqondo lunokwenza kube lula ukufuna uncedo.
Yiba nguMmeli Wakho
Siyicinga ukuba ugqirha uya kuhlala esinika isiluleko esingcono kakhulu sonyango, sikhululekile. Ngokudabukisayo, oku akusoloko kuyinyani. Ukuqaphela ukuxhamla ingqalelo kunokunceda. Uyakwazi ukuyiqonda, kwaye uyazi ukuba omnye umniki-nkonzo unokunikela ngeendlela ezahlukeneyo.
Umzekelo, izibini ezingenabantwana ziye zaxelelwa oogqirha bazo ukuba "abanakho ukukhetha" ukuba babe nosana, xa eqinisweni i-IVF yayinokukhetha, kodwa ugqirha wayenenkcaso yenkolo kwinkqubo. Abasetyhini baye batyelwa ukuba "batyebile" ukwenzela unyango, xa omnye ugqirha wayeza kunika unyango. Abanye baye batyelwa ukuba babengenalo unyango lwezonyango ngenxa yokuba ugqirha wayecinga ukuba abanako ukufumana unyango abayidingayo.
Ukuba awunelisekanga ngeempendulo ugqirha wakho unikezela, okanye into engafanelekanga, funa uluvo lwesibini.
Ngaba kuphela iklinikhi yokuzala kwindawo yakho? Abanye oogqirha baya kunxibelelana ngefowuni okanye kwi-conferencing yevidiyo. Akunakufuneka uhambe ukuze ufumane ukuba kulungele ukufumana uncedo kwenye indawo.
Kuthekani ukuba uyakrokraza (okanye uyazi) ukuba iklinikhi yokuzala yendawo iyenqaba ukukuphatha ngenxa yobume bakho bomtshato, ukuxhatshazwa ngokwesondo, okanye ubunikazi? I-American Society of Medicine Reproductive (ASRM) kunye ne-American College ye-Obstetrics kunye ne-Gynecologists (ACOG) ikhuthaza amalungu abo ukuba aphathe wonke umntu isigulane ngokulinganayo, kungakhathaliseki isimo somtshato, ukuxhatshazwa ngokwesini, okanye ubunikazi. Nangona kunjalo, abakwazi ukunyanzelisa le meko kumagqirha abo.
Unokudinga ukuya kwelinye idolophu okanye urhulumente ekliniki eya kukunika unyango, kungakhathaliseki ukuba yintoni imeko yakho yomtshato, ukuxhatshazwa ngokwesondo, okanye ubunikazi. Ngelishwa ngelanga longeza umthwalo wezezimali.
Enye inketho kukuqwalasela ukunxibelelana nommeli othe ngqo kwiintsapho okanye kumthetho wokuzala. Umthetho usenokwenzeka kwicala lakho, kodwa kungekhona. Amanye amazwe anemithetho ekhusela izigulane ze-LGBT ekucaluleni, ngelixa abanye bevumela oogqirha ukuba banqabe unyango "kwizikolo" okanye "zokuziphatha".
Unokufuna ukuqhagamshelana ne-Lambda Legal, inhlangano engenzi nzuzo ekhuthaza amalungelo oluntu lwase-LGBT. Banika "iDesksi yoNcedo lwezomthetho" ngewebhusayithi yabo, kunye nolwazi ukukunceda ukwazi nokuqonda amalungelo akho.
Ukukhuthaza abanye: Thatha isenzo sokuphucula ukufikelela kwiNkxaso
Thatha ingxaki yakho kwaye uyisebenzise ukunceda abanye. Imizamo yakho yokukhuthaza ayinakukwenza umehluko kwixesha lentsapho yakho yokwakha, kodwa ingenza umehluko kumnye umntu kwixesha elizayo.
Ukuba ngummeli wokuzala kunokuba ngamava anika amandla . Ukuba unomdla wokubandakanyeka , qha ga mshelana QAPHELA: UMbutho weSizwe ongenakuncedo . Baya kunika ulwazi malunga nendlela yokwenza umehluko kwinqanaba langaphakathi nelizwe.
Ukungabi naluphi uhlobo lwesifo, kwaye ukufikelela kwonyango lokuzala kulungele ukuba ngumntu. Ngokubhengezwa nokukwazisa, sinethemba lokuba siza kufika kungekudala xa abo bafuna unyango lwezonyango banokunyamekela, kungakhathaliseki ukuba bahlala phi, bangakanani imali abayifumayo, okanye indlela abazichonga ngayo.
> Imithombo:
> Ukufikelela kwiZonyango zonyango ngamaGays, amaLesbi, kunye nabantu abangatshatanga: iNgxelo yeKomiti . Umbutho waseMelika weMithi yokuzala.
IKomiti yezobuGcisa yeMerika Society yezoMnxeba wokuzalisa. "Ukungalingani ekufikeleleni kwonyango olusebenzayo lokungabikho kwemisebenzi e-United States: imbono yekomiti yezolawulo. " Fertil Steril . 2015 Nov; 104 (5): 1104-10. i-doi: 10.1016 / j.fertnstert.2015.07.1139. Epub 2015 Septemba 10.
> I-Ethics Webinar: Ukufikelela kwiNkathazo yokuKhathazeka. Umbutho waseMelika weMithi yokuzala.
> Ifowuni Ingxoxo. UDawn Brubaker, i-MSW (umgqatswa we-DSW.) NgoLwesithathu, ngoMatshi 22.